Active NPI
Martha Louise Odegaard, L.AC., O.M.D.
- Acupuncturist
- Prescott, AZ
National Provider Identifier
1780726372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC3113
- Practice address
- 343 S Montezuma St
Prescott, AZ 86303-7022 - Phone
- (928) 445-2900
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC3113 | CA | Primary |
| Acupuncturist | 171100000X | 012259 | AZ |
Addresses
Primary practice location
343 S Montezuma St
Prescott, AZ 86303-7022
Mailing address
1235 Crown Ridge Dr
Prescott, AZ 86301-6554
Phone (619) 838-8026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012259 | AZ | MD | Acupuncturist |
| AC3113 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1780726372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 CROWN RIDGE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863016554",
"telephone_number": "619-838-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 S MONTEZUMA ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863037022",
"telephone_number": "928-445-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEGAARD",
"first_name": "MARTHA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "L.AC., O.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC3113",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "012259",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.